Individual
MRS. DOROTHY CECILIA FOUNTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
384 DEVON DR, EXTON, PA 19341-1781
(610) 280-6533
Mailing address
384 DEVON DR, EXTON, PA 19341-1781
(610) 280-6533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001516L
PA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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